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Individual

DR. JOHN CARL FRENZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2 E 22ND ST, LOMBARD, IL 60148
(630) 627-4680
Mailing address
462 BRYANT AVE, GLEN ELLYN, IL 60137
(630) 858-5664

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13812
BCBS
IL
Enumeration date
12/01/2006
Last updated
07/08/2007
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